Designation:F1254–90(Reapproved2001)StandardPracticeforPerformanceofPrehospitalManualDefibrillation1ThisstandardisissuedunderthefixeddesignationF1254;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(e)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1Thispracticecoversguidelinesforprehospitalprovidersperformingmanualdefibrillation.1.2Thispracticeisoneinasetofperformanceguidelinesforprehospitaldefibrillation.1.3Thispracticeisspecificallynotmeanttodealwithequipmentspecifications,qualityassurance,ortraining.1.4Thispracticeislimitedtoexternaldefibrillatorsusedintheprehospitalsetting.1.5Thisstandarddoesnotpurporttoaddressallofthesafetyconcerns,ifany,associatedwithitsuse.Itistheresponsibilityoftheuserofthisstandardtoestablishappro-priatesafetyandhealthpracticesanddeterminetheapplica-bilityofregulatorylimitationspriortouse.2.ReferencedDocuments2.1ASTMStandards:F1031PracticeforTrainingtheEmergencyMedicalTech-nician(Basic)2F1149PracticeforQualifications,Responsibilities,andAuthorityofIndividualsandInstitutionsProvidingMedi-calDirectionofEmergencyMedicalServices2F1177TerminologyRelatingtoEmergencyMedicalSer-vices22.2AmericanHeartAssociationDocument:NationalStandardsandGuidelinesforCardiopulmonaryResuscitation(CPR)andEmergencyCardiacCare(ECC),AmericanHeartAssociation(CurrentEdition)33.Terminology3.1DefinitionsofTermsSpecifictoThisStandard:3.1.1basiclifesupport/cardiopulmonaryresuscitation(BLS/CPR)—asetofskillsthatincludesairwaymanagement,chestcompressions,andothersdefinedbytheAmericanHeartAssociation.3.1.2defibrillation—thedischargeofanelectricalcurrentthroughtheheartforthepurposeofrestoringaperfusingcardiacrhythm.Forthepurposeofthisdocument,defibrillationmayincludecardioversion.3.1.3manualdefibrillator—amonitor/defibrillatorthathasnocapabilityforrhythmanalysisandwillchargeanddeliverashockonlyatthecommandoft...
